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POB 36 26515 N. Sacramento Blvd. <br />California 95686 <br />Afforda-Te$t <br />LEAD DETECTOR <br />` <br />209 794Thornton, <br />-0102 S00 5Z4 -9Q87 FAX 209 794-0112 <br />TEST REPORT <br />Owner/Contractor/Eng: <br />TEST DATE: Z O <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME u ►� 0 <br />A fJ o� E <br />ai e Address: ® u a� <br />-reg <br />t,de� Zane 4. Nfmo <br />Present Not Present <br />Phone: Zo - p <br />Operator Name: <br />S 2 TECH SIGNATURE: <br />' OTTL # 04-1676 <br />INSPECTORNAPffi: <br />LEAK DETECTOR KEY <br />A LD2000 <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />B 99LD2000 <br />D FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />E FE Petro STP -MLD -D <br />F FE Petro STP -MLD -DE <br />J Other <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibm—ted to <br />io psi <br />Dispenser Product LD Key <br />Number from above <br />Serial # Resiliency Opening Test Leak Rate <br />Time <br />in seconds MI r Minute <br />Functional Metering PSI <br />Element pass/Fail <br />Holdin PSI <br />9-7 <br />P/F <br />P/F <br />P/F <br />P/F <br />PIF <br />P/F <br />P/F <br />P/F <br />P/F <br />